Enterocutaneous fistula - Revision history

Aidan at 23:32, 9 August 2024

2024-08-09T23:32:56Z

← Older revision		Revision as of 23:32, 9 August 2024
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	* Abnormal connection from the gastrointestinal tract to the skin		* Abnormal connection from the gastrointestinal tract to the skin

			=== Etiologies ===
⚫	==== Risk Factors for ~~Perisitence~~ ====

			* Surgical complications
⚫	* Mnemonic is HIS FRIEND
			* [[Diverticular disease]]
			* [[Crohn disease]]
			* Malignancy
			* Radiation
			* Infection, particularly with perianal fistulas
			** Includes [[tuberculosis]] and [[actinomycosis]]

		⚫	=== Risk Factors for Persistence ===
		⚫	* Mnemonic is '''HIS FRIEND'''
	* High output		* High output
			* [[Inflammatory bowel disease]]
	* IBD
	* Short tract (<2 cm)		* Short tract (<2 cm)
	* Foreign body		* Foreign body
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	== Management ==		== Management ==

	* Needs multidisciplinary care		* Needs multidisciplinary care to optimize nutrition, assess fistulous tract anatomy, provide good wound care, and manage the underlying disease
	* Nutrition and fluid maintenance is important, especially for high-output fistulas		* Nutrition and fluid maintenance is important, especially for high-output fistulas
	* When they develop infections:		* When they develop infections:

Aidan at 19:27, 11 July 2024

2024-07-11T19:27:49Z

@@ Line 2: / Line 2: @@
 * Abnormal connection from the gastrointestinal tract to the skin
 * May be classified by output:
 ** High output: >500 mL/24 hours

Aidan: Created page with "== Background == * Abnormal connection from the gastrointestinal tract to the skin * May be classified by output: High output: >500 mL/24 hours Moderate output: 200 to..."

2022-02-16T11:40:11Z

Created page with "== Background == * Abnormal connection from the gastrointestinal tract to the skin * May be classified by output: ** High output: >500 mL/24 hours ** Moderate output: 200 to..."

New page

== Background ==

* Abnormal connection from the gastrointestinal tract to the skin
* May be classified by output:
** High output: >500 mL/24 hours
** Moderate output: 200 to 500 mL/24 hours
** Low output: <200 mL/24 hours
* May be classified by etiology:
** Iatrogenic: operations for malignancy, adhesiolysis, [[IBD]], and trauma, mostly from anastomotic leaks
** Spontaneous: [[IBD]], malignancy, [[appendicitis]], [[diverticulitis]], radiation, [[tuberculosis]], [[actinomycosis]], ischemia
* Maybe classified by GI source:
** Type I: abdominal, esophageal, and gastroduodenal
** Type II: small bowel
** Type III: large bowel
** Type IV: enteroatmospheric, regardless of origin

== Management ==

* Needs multidisciplinary care
* Nutrition and fluid maintenance is important, especially for high-output fistulas
* When they develop infections:
** Percutaneous drainage of any abscesses
** Antibiotics should cover GI pathogens
** In general, antibiotics are not needed beyond source control
** Duration of about 4 to 7 days is typically enough

== Further Reading ==

* Enterocutaneous Fistula: Proven Strategies and Updates. ''Clin Colon Rectal Surg''. 2016 Jun; 29(2): 130–137. doi: [https://doi.org/10.1055/s-0036-1580732 10.1055/s-0036-1580732]

[[Category:Gastrointestinal infections]]

Enterocutaneous fistula - Revision history

Aidan at 23:32, 9 August 2024

Aidan at 19:27, 11 July 2024

Aidan: Created page with "== Background == * Abnormal connection from the gastrointestinal tract to the skin * May be classified by output: ** High output: >500 mL/24 hours ** Moderate output: 200 to..."

Aidan: Created page with "== Background == * Abnormal connection from the gastrointestinal tract to the skin * May be classified by output: High output: >500 mL/24 hours Moderate output: 200 to..."